Deficiency of Soluble α-Klotho as an Independent Cause of Uremic Cardiomyopathy

J. Xie, Y. L. Wu, C. L. Huang

Research output: Chapter in Book/Report/Conference proceedingConference contribution

6 Citations (Scopus)

Abstract

Cardiovascular disease (CVD) is the major cause of mortality for patients with chronic kidney disease (CKD). Cardiac hypertrophy, occurring in up to 95% patients with CKD (also known as uremic cardiomyopathy), increases their risk for cardiovascular death. Many CKD-specific risk factors of uremic cardiomyopathy have been recognized, such as secondary hyperparathyroidism, indoxyl sulfate (IS)/p-cresyl, and vitamin D deficiency. However, several randomized controlled trials have recently shown that these risk factors have little impact on the mortality of CVD. Klotho is a type 1 membrane protein predominantly produced in the kidney, and CKD is known to be a Klotho-deficient state. Because of its important role in FGF23 and phosphate metabolism, Klotho is believed to affect cardiac growth and function indirectly through FGF23 and phosphate. Recent studies showed that soluble Klotho protects the heart against stress-induced cardiac hypertrophy by inhibiting TRPC6 channel-mediated abnormal Ca2+ signaling in the heart, and the decreased level of circulating soluble Klotho in CKD is an important cause of uremic cardiomyopathy independent of FGF23 and phosphate. These new evidence suggested that Klotho is an independent contributing factor for uremic cardiomyopathy and a possible new target for treatment of this disease.

Original languageEnglish
Title of host publicationKlotho, 2016
EditorsGerald Litwack
PublisherAcademic Press Inc.
Pages311-330
Number of pages20
ISBN (Print)9780128048191
DOIs
Publication statusPublished - 2016

Publication series

NameVitamins and Hormones
Volume101
ISSN (Print)0083-6729

Keywords

  • Ca signaling
  • Cardiac hypertrophy
  • Chronic kidney disease
  • Klotho
  • Transient receptor potential cation channel
  • Uremic cardiomyopathy

ASJC Scopus subject areas

  • Physiology
  • Endocrinology

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